| CASE NUMBER | I-200-24155-062296 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/3/2024 |
| DECISION DATE | 6/10/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Broberg Physical Therapy |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6065 Meridian Avenue |
| EMPLOYER ADDRESS2 | Suite 70 |
| EMPLOYER CITY | San Jose |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95120 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14089270871 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62134 |
| EMPLOYER POC LAST NAME | Broberg |
| EMPLOYER POC FIRST NAME | Wayne |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Owner/Physical Therapist |
| EMPLOYER POC ADDRESS1 | 6065 Meridian Avenue |
| EMPLOYER POC ADDRESS2 | Suite 70 |
| EMPLOYER POC CITY | San Jose |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95120 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14089270871 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | brobergpt@aol.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Lleras |
| AGENT ATTORNEY FIRST NAME | Lorenzo |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 150 NW 75th Drive |
| AGENT ATTORNEY ADDRESS2 | Suite A |
| AGENT ATTORNEY CITY | Gainesville |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32607 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13523317554 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lorenzo@usvisanews.com |
| LAWFIRM NAME BUSINESS NAME | Lorenzo M. Lleras, P.A. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Florida |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6065 Meridan Avenue |
| WORKSITE ADDRESS2 | Suite 70 |
| WORKSITE CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95120 |
| WAGE RATE OF PAY FROM | 50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $58.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $49.99 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kennedy |
| PREPARER FIRST NAME | Kirsten |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Lorenzo M. Lleras, P.A. |
| PREPARER EMAIL | Kirsten@usvisanews.com |
| BEGIN DATE CONVERTED | 2025-01-09 |
